Provider Demographics
NPI:1366703696
Name:BYRD, BRENDA LEE (APRN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:BRENDA
Middle Name:LEE
Last Name:BYRD
Suffix:
Gender:
Credentials:APRN, FNP-C
Other - Prefix:MRS
Other - First Name:BRENDA
Other - Middle Name:LEE
Other - Last Name:RITCHIE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP-C
Mailing Address - Street 1:915 TATE BLVD SE STE 186
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-4042
Mailing Address - Country:US
Mailing Address - Phone:828-303-2131
Mailing Address - Fax:828-304-0943
Practice Address - Street 1:915 TATE BLVD SE STE 186
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-4042
Practice Address - Country:US
Practice Address - Phone:828-303-2131
Practice Address - Fax:828-324-0253
Is Sole Proprietor?:No
Enumeration Date:2012-06-04
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3007452363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily